Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $537.03	Facility		$194.98	$194.98	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $36.31 / $72.44	Professional		$10.96	$36.31	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $39.81 / $89.13	Professional		$15.14	$39.81	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $37.15 / $97.72	Facility		$13.49	$37.15	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $79.43 / $151.36	Professional		$25.12	$79.43	$151.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $194.98	Professional		$45.71	$79.43	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $34.67 / $81.28	Facility		$11.75	$34.67	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $46.77 / $81.28	Professional		$15.85	$46.77	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $97.72	Professional		$28.18	$53.70	$97.72